Evidence map›Paper›PMID 39363233›Full record

ArticleEuropean journal of medical research2024

Factors affecting fat myringoplasty in elderly patients with chronic otitis media: A case control study.

Kyeong Suk Park, Ji Su Kim, Chung Man Sung, Hyong Ho Cho, Hong Chan Kim

Abstract read
In one paragraph

Article in European journal of medical research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Endoscopic Type I Tympanoplasty: Comparative Outcomes of Autograft, Allograft, and Xenograft.Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Kyeong Suk ParkDepartment of Otolaryngology-Head and Neck Surgery, Chonnam National University Medical School and Chonnam National University Hospital, 160 Baekseo-Ro, Dong-Gu , Gwangju, 61469, Republic of Korea.
Ji Su KimDepartment of Biomedical Science and Biomedical Graduate Program (BMSGP), Chonnam National University Medical School, Gwangju, Republic of Korea.
Chung Man SungDepartment of Otolaryngology-Head and Neck Surgery, Chonnam National University Medical School and Chonnam National University Hospital, 160 Baekseo-Ro, Dong-Gu , Gwangju, 61469, Republic of Korea.
Hyong Ho ChoDepartment of Otolaryngology-Head and Neck Surgery, Chonnam National University Medical School and Chonnam National University Hospital, 160 Baekseo-Ro, Dong-Gu , Gwangju, 61469, Republic of Korea.
Hong Chan KimDepartment of Otolaryngology-Head and Neck Surgery, Chonnam National University Medical School and Chonnam National University Hospital, 160 Baekseo-Ro, Dong-Gu , Gwangju, 61469, Republic of Korea. earnosethroat@daum.net.

Funding

Chonnam National University Hwasun Hospital Institute for Biomedical Science HCRI20015National Research Foundation of Korea(NRF) grant funded by the Korea government(MSIT) 2023-2229-01
6 · The paper itself

Abstract

backgroundWe compared and analyzed the surgical results of fat myringoplasty between elderly and young adult patients with chronic otitis media. We also investigated whether underlying diseases and other factors impact the surgical outcome.

methodsWe retrospectively reviewed the data of 141 patients who underwent fat myringoplasty for chronic otitis media for five years. They were compared by age, sex, underlying disease, perforation size, pre- and postoperative pure tone audiometry, postoperative otorrhea, postoperative re-perforation, and cause of re-perforation.

resultPostoperative re-perforation was more common in the elderly group, albeit with no significant difference (p = 0.072). The factors affecting re-perforation were insufficient fat graft (44.4%), postoperative infection (33.3%), and nasal blowing (22.2%). Our findings revealed no significant association between preoperative perforation size and re-perforation (p = 0.391). Additionally, we found no significant relationship between hypertension and re-perforation (p > 0.99), nor between age group and postoperative infection (p = 0.488). Diabetes was also not significant (p = 0.640). Following surgery, both groups exhibited a significant improvement in hearing.

conclusionAlthough age and underlying conditions play significant roles in the healing process, our results suggest that external factors such as infection, nasal blowing, cough, and insufficient grafted fat tissue have a similarly significant impact on surgical outcomes in elderly patients with COM as they do in adults. In conclusion, the decision to perform surgery in elderly patients with COM should be based on a comprehensive assessment of the patient's overall health status, hearing, use of hearing aids, and the indications for surgery.

Indexed as

MyringoplastyOtitis MediaAdipose TissueAdultAgedAged, 80 and overCase-Control StudiesChronic DiseaseFemaleHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeTympanic Membrane PerforationChronic otitis mediaFat myringoplastyHearing aidPresbycusis

Identifiers

PMID39363233
PMCPMC11448294

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.